Skip to Main Content

++

CONDITION/DISORDER SYNONYMS

++

  • Congenital spondylolisthesis

  • Degenerative spondylolisthesis

  • Isthmic spondylolisthesis

  • Pathologic spondylolisthesis

  • Spondylolisthesis acquisita

  • Traumatic spondylolisthesis

++

ICD-9-CM CODES

++

  • 738.4 Acquired spondylolisthesis

  • 756.12 Spondylolisthesis congenital

++

ICD-10-CM CODES

++

  • M43.10 Spondylolisthesis, site unspecified

  • Q76.2 Congenital spondylolisthesis

++
FIGURE 130-1

(A) Diagram of spondylolisthesis of L5 over S1 caused by spondylolysis of L5. (B) Oblique plain film of the lumbar spine demonstrates a spondylolysis or pars defect on the right side at L5 (arrows). Note the intact pars at L4 (*). (C) CT bone window of a different patient shows spondylolysis defects (arrows). Although these resemble facet joints, they are more horizontal in orientation and more irregular, lacking a smooth cortical margin. (From Chen MYM, Pope TL, Ott DL. Basic Radiology. 2nd ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location
++

PREFERRED PRACTICE PATTERN

++

  • 4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and ROM Associated with Localized Inflammation1

++

PATIENT PRESENTATION

A 49-year-old man employed as a high school gym teacher and coach reports a long 15+ year history of generalized lumbosacral ache, which has been getting steadily worse over the past year. Lately, this has interfered with his job since the jarring motions associated with sports increase his symptoms. He recalls falling from a 12-foot wall and landing on his buttocks when he was a teenager and also recalls several sporting injuries. He recalls returning to normal activity within 6 weeks of the fall.

Up until his early 30s, he did not experience any significant back pain; however, after age 35 years, there was a steady increase in periodic low back pain. Presently, he has pain every day, which starts as a stiff ache every morning. Getting out of bed is difficult, and he must log roll to his side to get up from supine. After a hot shower and some simple exercises, he is able to move better. Coughing and jarring movements are painful. Walking is relatively pain free on level surfaces, but painful on hills and stairs. Sitting and lying relieve pain. Getting in and out of the car is difficult and many work postures, especially bending forward aggravate the pain and you must often support yourself by leaning on an arm. The pain has not radiated into the lower extremity and is confined to the low back and buttocks. There is tenderness at L4 and L5 spinous processes, with palpable step.

++
FIGURE 130-2

Lateral lumbar spine X-ray demonstrates a 25% anterior slippage of L4 on L5 due to a defect in the L4 pars interarticularis. This is called spondylolisthesis. (From Brunicardi FC, Andersen D, Billiar T, et al. Schwartz’s Principles of Surgery. 9th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

...

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPhysiotherapy Full Site: One-Year Subscription

Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.